Assessment of Self-Stigma, Self-Esteem, and Asthma Control: A Preliminary Cross-Sectional Study Among Adult Asthmatic Patients in Selangor, Malaysia

Ahmad, Sohail; Ismail, Ahmad Izuanuddin; Zim, Mohd Arif Mohd; Ismail, Nahlah Elkudssiah

doi:10.3389/fpubh.2019.00420

Cited by 13 publications

(16 citation statements)

References 21 publications

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“…Our study had also revealed that controlled asthma patients were less stigmatized compared to uncontrolled ones. This is supported by a study from Malaysia, which showed that asthma control in adult patients was negatively influenced by the reported degree of stigmatization 35 . Previous studies focused on asthma among children 5 and adults 4 found associations between correct inhaler use and level of asthma control; however, we did not find such an association in our study.…”

Section: Discussionsupporting

confidence: 65%

Predictors of proper inhaler technique and asthma control in pediatric patients with asthma

Almomani

Al-Qawasmeh

Al-Shatnawi

et al. 2021

Pediatric Pulmonology

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Background Improper use of asthma inhalers is one of the potential factors of poor asthma control among children. This study aimed to assess the proper handling of asthma inhalers and asthma control in addition to factors influencing them among pediatric patients who self‐administer their inhalers. Methods A cross‐sectional study was conducted in Jordan from February 2019 to February 2020. All eligible pediatric patients with asthma attending outpatient settings were approached. The inhalation technique was assessed according to a standard checklist, and asthma control was assessed using the Asthma Control Test. Results A total of 150 patients were included in this study. A metered dose inhaler (MDI) was the most commonly used inhaler device (89.4%) which was used appropriately by only 13.4% of participants. Whereas, appropriate use of Turbohaler and Diskus was reported by 38.5% and 28.9%, respectively. The higher level of parental knowledge was associated with higher number of correct MDI steps (OR = 1.066; 95% CI = 1.010–1.125; p = .020) and less reported errors in critical steps (OR = 0.949; 95% CI = 0.900–0.999; p = .047). Higher level of both parental education and pediatric average stigma score (less stigmatized) were associated with better asthma control ([OR = 5.181; 95% CI = 1.238–21.677; p = .024], [OR = 2.825; 95% CI = 1.420–5.619; p = .003], respectively). Conclusion Continuous education on appropriate inhaler self‐administration for asthmatic children is highly recommended. Clinical pharmacists play a major role toward improving the administration of inhalers through patient training and counseling.

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Section: Discussionsupporting

confidence: 65%

Predictors of proper inhaler technique and asthma control in pediatric patients with asthma

Almomani

Al-Qawasmeh

Al-Shatnawi

et al. 2021

Pediatric Pulmonology

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“…Despite this, 75% of patients perceived their asthma to be controlled thereby highlighting the mismatch between reality and patients' attitude toward their symptoms [32]. Other independent studies carried out at tertiary care centers in Malaysia also highlight the importance of patient behavior and perception in achieving optimum asthma control [33][34][35].…”

Section: F I G U R E 1 Factors Contributing To Uncontrolled Asthmamentioning

confidence: 99%

“…In Malaysia, the Ministry of Health had taken important initiatives in 2004 to provide counselling and education to patients with chronic diseases including asthma in the form of dedicated centers called Medication Therapy Adherence Clinics (MTAC). With the overall adherence to treatment being low for chronic diseases, the objective of MTAC was to achieve an increase in treatment adherence among such patients [34,36,37]. In a survey in 2017 that included Malaysian Healthcare Professionals (HCPs), incorrect inhaler techniques followed by non-compliance to treatment remained to be the biggest contributors to uncontrolled asthma [38].…”

Section: Non-compliance To Treatmentmentioning

confidence: 99%

Burden and unmet needs in asthma care in the Asia‐Pacific region

Wadhawan¹,

Muthukumaru

Loh

2022

Public Health Challenges

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Asthma is a chronic respiratory disease with increasing global prevalence. It affects approximately 300 million people globally and more than a third of these patients have uncontrolled asthma. The burden of poorly controlled asthma is considerable both for the individuals and the society. The World Health Organization (WHO) estimates that, 455,000 people died from asthma worldwide in 2019, the majority in low and low‐middle‐income countries. This article highlights the unmet needs and burden of asthma in the Asia‐Pacific region where many patients have poorly controlled asthma despite advances in asthma care and treatment. A mismatch between patients’ (and physicians’) perception of asthma control and optimal asthma control as defined by the Global Initiative for Asthma (GINA) is a challenge in the real‐life management of many patients. Consequently, treatment adherence and optimization are affected. In many of these aspects, patients with asthma in the Asia‐Pacific region are comparatively worse than those from Europe and North America. In future, cooperation of all stakeholders is needed in improving awareness, education, and goal‐directed management of asthma with meaningful improvement in quality of life. This article draws attention to some of the important gaps in asthma management in the Asia‐Pacific region and suggests some measures to address these unmet needs.

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“…The study also found that perceived stigma was significantly associated with dyspnoea and cough symptoms. Ahmad et al [24] reported that self-stigma and self-esteem is a predictor of poor asthma control. 1 The interaction of respiratory disease, need for medication and stigma.…”

Section: Impact Of Medication-related Stigma On Health Outcomesmentioning

confidence: 99%

“…A hmad et al . [ 24 ] reported that self-stigma and self-esteem is a predictor of poor asthma control.…”

Section: Impact Of Medication-related Stigma On Health Outcomesmentioning

confidence: 99%

Stigma from medication use: an under recognised burden of care

Kansra

Calvert

Jones

2021

Breathe

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Children with respiratory diseases take treatments for the self-management of symptoms and to maintain disease control. Often, these treatments need to be taken in social environments like school. Respiratory treatments can foster a feeling of difference and stigmatisation, which negatively impact on the quality of life and adherence to treatment. Such perceptions can lead to a less than optimal disease control, a vicious cycle leading to further social exclusion and stigma. This aspect of “burden of treatment” is poorly recognised by clinicians. Recognition of how treatments and clinical practice can contribute to stigma, can help address this burden of care.Educational aimsTo understand the meaning of the term “stigma” within the context of respiratory health conditions and how medication or treatments can contribute to stigma in children and young people.To understand the potential impact of stigma on adherence, disease control and quality of life.To consider strategies to manage the stigma associated with health treatments across spheres of influence.

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Assessment of Self-Stigma, Self-Esteem, and Asthma Control: A Preliminary Cross-Sectional Study Among Adult Asthmatic Patients in Selangor, Malaysia

Cited by 13 publications

References 21 publications

Predictors of proper inhaler technique and asthma control in pediatric patients with asthma

Predictors of proper inhaler technique and asthma control in pediatric patients with asthma

Burden and unmet needs in asthma care in the Asia‐Pacific region

Stigma from medication use: an under recognised burden of care

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